<form action="/php/registration_handler.php" method="post" id="reg_form" name="reg_form">
    <table class="form_table" summary="">
        <tr>
            <td><label>First Name:</label></td>
            <td><div class="input_div"><input type="text" id="first_name" maxlength="255" name="first_name" /></div></td>
        </tr>
        <tr>
            <td><label>Last Name:</label></td>
            <td><div class="input_div"><input type="text" id="last_name" maxlength="255" name="last_name" /></div></td>
        </tr>
        <tr>
            <td><label>Your Email:</label></td>
            <td><div class="input_div"><input type="text" id="reg_email" maxlength="255" name="email" /></div></td>
        </tr>
        <tr>
            <td><label>Re-enter Email:</label></td>
            <td><div class="input_div"><input type="text" id="reg_re_email" maxlength="255" name="re_email" /></div></td>
        </tr>
        <tr>
            <td><label>New Password:</label></td>
            <td>
                <div class="input_div">
                    <input type="password" id="reg_password" maxlength="12" name="password" />
                </div>
                <span id="check_password"></span>
            </td>
        </tr>
        <tr>
            <td><label>I am:</label></td>
            <td>
                <div class="beauty_select">
                    <select class="select_sex" id="sex" name="sex">
                        <option value="none">Select Sex:</option>
                        <option value="male">Male</option>
                        <option value="female">Female</option>
                    </select>
                </div>                
            </td>
        </tr>
        <tr>
            <td><label>Birthday:</label></td>
            <td>
                <div class="beauty_select">
                    <select class="month" id="month" name="month">
                        <option value="none">Month:</option>
                        <option value="01">Jan</option>
                        <option value="02">Feb</option>
                        <option value="03">Mar</option>
                        <option value="04">Apr</option>
                        <option value="05">May</option>
                        <option value="06">Jun</option>
                        <option value="07">Jul</option>
                        <option value="08">Aug</option>
                        <option value="09">Sep</option>
                        <option value="10">Oct</option>
                        <option value="11">Nov</option>
                        <option value="12">Dec</option>
                    </select>
                </div>
                <div class="beauty_select">            
                    <select class="day" id="day" name="day">
                        <option value="none">Day:</option>
                        <option value="01">1</option>
                        <option value="02">2</option>
                        <option value="03">3</option>
                        <option value="04">4</option>
                        <option value="05">5</option>
                        <option value="06">6</option>
                        <option value="07">7</option>
                        <option value="08">8</option>
                        <option value="09">9</option>
                        <option value="10">10</option>
                        <option value="11">11</option>
                        <option value="12">12</option>
                        <option value="13">13</option>
                        <option value="14">14</option>
                        <option value="15">15</option>
                        <option value="16">16</option>
                        <option value="17">17</option>
                        <option value="18">18</option>
                        <option value="19">19</option>
                        <option value="20">20</option>
                        <option value="21">21</option>
                        <option value="22">22</option>
                        <option value="23">23</option>
                        <option value="24">24</option>
                        <option value="25">25</option>
                        <option value="26">26</option>
                        <option value="27">27</option>
                        <option value="28">28</option>
                        <option value="29">29</option>
                        <option value="30">30</option>
                        <option value="31">31</option>
                    </select>
                </div>
                <div class="beauty_select">
                    <select class="year" id="year" name="year">
                        <option value="none">Year:</option>
                        <option value="2012">2012</option>
                        <option value="2011">2011</option>
                        <option value="2010">2010</option>
                        <option value="2009">2009</option>
                        <option value="2008">2008</option>
                        <option value="2007">2007</option>
                        <option value="2006">2006</option>
                        <option value="2005">2005</option>
                        <option value="2004">2004</option>
                        <option value="2003">2003</option>
                        <option value="2002">2002</option>
                        <option value="2001">2001</option>
                        <option value="2000">2000</option>
                        <option value="1999">1999</option>
                        <option value="1998">1998</option>
                        <option value="1997">1997</option>
                        <option value="1996">1996</option>
                        <option value="1995">1995</option>
                        <option value="1994">1994</option>
                        <option value="1993">1993</option>
                        <option value="1992">1992</option>
                    </select>
                </div>            
            </td>
        </tr>
        <tr>
            <td></td>
            <td><a href="https://www.facebook.com/" class="why_link">Why do I need to provide this?</a></td>
        </tr>
        <tr>
            <td></td>
            <td><input class="submit" id="reg_form_submit" value="submit" type="image" src="/images/fb_form/submit.png" /></td>
        </tr>
    </table>
</form>